# WESTERN PATHOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780924233
- **Authorized official:** KURT F LUNDQUIST MD (AUTHORIZED OFFICIAL/PRESIDENT)
- **Authorized official phone:** (805) 748-6214

## Contact information

- **Practice address:** 3440 EMPRESA DR, SUITE B, SAN LUIS OBISPO, CA 93401-7345
- **Practice address phone:** (805) 543-5000
- **Practice address fax:** (805) 543-5199
- **Mailing address:** PO BOX 84392, SEATTLE, WA 98124-5692
- **Mailing address phone:** (805) 548-1550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2013
- **Last updated:** 11/19/2024